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General NPI Number Information
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NPI Number | 1629121785
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Entity Type | Organization
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Legal Business Name | YUBA-SUTTER ONCOLOGY CENTER INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 481 PLUMAS BLVD SUITE 102
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City | YUBA CITY
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State | CA
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Zip | 95991-5075
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Country | US
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Telephone | 530-671-5175
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Fax | 530-671-6541
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Provider Business Mailing Address
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Address Line | 481 PLUMAS BLVD SUITE 102
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City | YUBA CITY
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State | CA
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Zip | 95991-5075
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Country | US
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Telephone | 530-671-5175
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Fax | 530-671-6541
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Authorized Official
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Title or Position | CEO, SECRETARY
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Name | MADHU JODHANI
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Credential | M.D.
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Telephone | 530-671-5175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A050459
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License Number State | CA
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